ATI RN
Aggressive Behavior Nursing Diagnosis Questions
Question 1 of 5
Which comment by the parents of young children best demonstrates support of development of resilience and effective stress management?
Correct Answer: B
Rationale: The correct answer is option B) "We spend daily family time talking about experiences and feelings." This option demonstrates support for the development of resilience and effective stress management in young children by promoting open communication within the family. By encouraging children to express their experiences and feelings, parents create a supportive environment where children can learn to cope with stress, build emotional intelligence, and develop resilience. Option A is incorrect because simply allowing children to make their own decisions without guidance or support may not necessarily promote effective stress management or resilience. Option C is incorrect as the educational qualifications of babysitters do not directly correlate with teaching children resilience or stress management skills. Option D is incorrect because stating differences in parenting strategies without indicating how they support resilience or stress management does not provide a clear demonstration of effective support for children's development in these areas. In an educational context, it is important for parents and caregivers to understand the significance of fostering resilience and effective stress management in children. By creating a nurturing and open environment where children feel comfortable expressing their emotions and experiences, parents can help children develop the skills they need to cope with challenges and bounce back from adversity. Communication, emotional support, and active listening are key components in promoting resilience and effective stress management in young children.
Question 2 of 5
A patient with a somatic symptom disorder has the nursing diagnosis Interrupted family processes related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will
Correct Answer: B
Rationale: In this scenario, the correct answer is B) demonstrate performance of former roles and tasks. This outcome is appropriate because it signifies that the patient is regaining their ability to fulfill their previous roles within the family, indicating progress in addressing the interrupted family processes related to their somatic symptom disorder. Option A) assume roles and functions of other family members is incorrect as it would perpetuate the existing issue of family members taking on responsibilities that should belong to the patient, rather than the patient reclaiming their roles. Option C) focus energy on problems occurring in the family is not the most appropriate outcome as it does not directly address the resolution of the interrupted family processes but rather shifts the focus towards identifying issues without actively working towards resolving them. Option D) rely on family members to meet personal needs is also incorrect as the goal of treatment is to empower the patient to become more self-sufficient and independent in meeting their own needs, rather than fostering dependency on others. Educationally, this question highlights the importance of setting appropriate and specific outcomes in nursing care plans to address the underlying issues effectively. It also underscores the significance of promoting patient autonomy and restoring family dynamics to a healthier state in the context of somatic symptom disorders.
Question 3 of 5
A child has a history of multiple hospitalizations for recurrent systemic infections. The child is not improving in the hospital, despite aggressive treatment. Factitious disorder imposed on another is suspected. Which nursing interventions are appropriate? (Select all that apply.)
Correct Answer: B
Rationale: Factitious disorder imposed on another is a condition wherein a person intentionally causes or perpetuates the illness of a loved one (e.g., by periodically contaminating IV solutions with fecal material). When this disorder is suspected, the child's life could be at risk. Depending on the evidence supporting this suspicion, interventions could range from minimizing unsupervised visitation to blocking visitation altogether. Frequently checking on the child during visitation and minimizing unobserved access to the child (by encouraging small group visits) reduces the opportunity to take harmful action and increases the collection of data that can help determine whether this disorder is at the root of the child's illness. Detailed tracking of visitation and untoward events helps identify any patterns there might be between select visitors and the course of the child's illness. Increasing private visitation provides more opportunity for harm. Educating visitors about aseptic techniques would not be of help if the infections are intentional, and preventing inadvertent contamination by the child himself would not affect factitious disorder by proxy.
Question 4 of 5
An 11-year-old diagnosed with ODD becomes angry over the rules at a residential treatment program and begins cursing at the nurse. Select the best method for the nurse to defuse the situation.
Correct Answer: C
Rationale: The child's behavior warrants an active response. Redirecting the expression of feelings into nondestructive age-appropriate behaviors, such as a physical activity, helps defuse the situation here and now. This response helps the child learn how to modulate the expression of feelings and exert self-control. This is the least restrictive alternative and should be tried before resorting to a more restrictive measure. Role playing is appropriate after the child's anger is defused.
Question 5 of 5
An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent told both parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?
Correct Answer: C
Rationale: A situational crisis arises from events that are extraordinary, external rather than internal, and often unanticipated. Sexual molestation falls within this classification. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. "Organic" and "Tertiary" are not types of crisis.